Obituaries

Lola Augustin
B: 1925-10-02
D: 2017-03-21
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Augustin, Lola
Mary Gemellos
B: 1923-05-10
D: 2017-03-20
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Gemellos, Mary
Daniel Brock
B: 1960-05-02
D: 2017-03-20
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Brock, Daniel
Catherine Santistevan
B: 1945-12-30
D: 2017-03-19
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Santistevan, Catherine
Norman Liebig
B: 1958-06-13
D: 2017-03-15
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Liebig, Norman
Gertrude Heald
B: 1915-12-10
D: 2017-03-14
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Heald, Gertrude
Jean Roberts
B: 1939-03-30
D: 2017-03-12
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Roberts, Jean
Helen Pruden
B: 1938-11-13
D: 2017-03-11
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Pruden, Helen
Janice Roe
B: 1945-02-12
D: 2017-03-11
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Roe, Janice
Michael Marquez
B: 1929-06-04
D: 2017-03-10
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Marquez, Michael
Arlene Mahurin
B: 1925-12-14
D: 2017-03-08
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Mahurin, Arlene
Elmer Lautt
B: 1920-12-02
D: 2017-03-08
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Lautt, Elmer
Daniel Seibert
B: 1987-04-25
D: 2017-03-07
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Seibert, Daniel
Beverly Bentz
B: 1922-02-14
D: 2017-03-05
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Bentz, Beverly
Josephine Rama
B: 1929-06-10
D: 2017-03-04
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Rama, Josephine
Timothy Ergonis
B: 1986-10-19
D: 2017-03-03
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Ergonis, Timothy
Bernadine Mason
B: 1923-08-31
D: 2017-03-02
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Mason, Bernadine
Virginia Hibbard
B: 1932-04-27
D: 2017-03-02
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Hibbard, Virginia
Jose Mesa
B: 1934-01-06
D: 2017-02-27
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Mesa, Jose
Mary Hall
B: 1924-10-19
D: 2017-02-24
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Hall, Mary
Della Lile
B: 1947-01-02
D: 2017-02-23
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Lile, Della

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725 South Fairmont Avenue
Lodi, CA 95240
Phone: (209) 369-3564
Fax: (209) 369-3373

Immediate Need

First, let us say that we are so sorry for your loss.

To report a death to Lodi Funeral Home, Inc., please notify us first by phone at (209) 369-3564.

After that call, we will take your loved one into our care and will confirm a time/date for the arrangement conference. If you would prefer to expedite your time with our staff during that arrangement process, you may enter your loved one's basic information in this form below.


I. Informant Information

Full Name of Informant:
Relationship to Deceased:
Informant's Phone Number:
Informant's Email Address:

II. Decedent's Biographical Information

Full Name of Decedent:
Date of Death:
Decedent's Address:
City Name:
State:
Zip Code:
Telephone Number:
Date of Birth:
City of Birth:
State of Birth:
Highest Education Level:
Father's Name:
Father's City of Residence:
Mother's Name:
Mother's City of Residence:
Mother's Maiden Name:
Spouse's Name:
Spouse's Maiden Name:
Survivors' Names/Residence
Preceded Relatives
Occupation:
Industry:
Employer's Name:
Church Membership:
Club Affiliations:

III. Decedent's Military Record

Veteran:
Branch of Service:
Serial Number:
Date Enlisted:
Date of Discharge:
Rank at Discharge:
Time of Military Service:
Military Honors at Graveside:
Flag Preference for Service:

III. Service Preferences

Type of Service:
Visitation Hours:
Casket:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
Casket Preference:
Disposition:
Cemetery Name:
Cemetery Location:

Miscellaneous Notes and Instructions:


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